Objective: To explore the clinical effect of lumbar pool drainage combined with antibiotics in the treatment of patients with intracranial infections, and to provide a reference basis for clinical treatment. Methods: ...Objective: To explore the clinical effect of lumbar pool drainage combined with antibiotics in the treatment of patients with intracranial infections, and to provide a reference basis for clinical treatment. Methods: To collect and select patients admitted to the First People’s Hospital of Jingzhou City for craniotomy from January 2016 to June 2022, the infected were 20 cases, and continuous drainage of the lumbar pool was used under the premise of systemic application of sensitive antibiotics. Results: Twenty cases in this group were discharged cured. Conclusion: Lumbar pool placement drainage combined with systemic application of antibiotics for intracranial infection is a safe and effective treatment method.展开更多
Objective To explore the therapeutic effect of preoperative external lumbar drainage in Hunt and Hess grade Ⅰ～Ⅲ patients with subarachnoid hemorrhage (SAH) undergoing early surgery for intracranial aneurysms. Metho...Objective To explore the therapeutic effect of preoperative external lumbar drainage in Hunt and Hess grade Ⅰ～Ⅲ patients with subarachnoid hemorrhage (SAH) undergoing early surgery for intracranial aneurysms. Methods 101 cases of gradeⅠ～Ⅲ patients according to the classification of Hunt and Hess展开更多
External lumbar drainage (ELD) has gained wide popularity in neurosurgical practice since its’ first introduction by F. Vourc’h in 1963. It manifests encouraging prospects in control of refractory intracranial hyper...External lumbar drainage (ELD) has gained wide popularity in neurosurgical practice since its’ first introduction by F. Vourc’h in 1963. It manifests encouraging prospects in control of refractory intracranial hypertension, prevention of complications secondary to aneurysmal subarachnoid hemorrhage, prediction of shunt respondency in normal pressure hydrocephalus, management of cerebrospinal fluid (CSF) leakage, and application in bacterial meningitis and ventriculitis. But many questions on the efficacy and safety of ELD are remained to be answered by future studies. CSF overdrainage and ELD-related meningitis are the two most common and fatal complications due to inappropriate usage of ELD. Randomized control ed trials are badly in need to more safely and rational y guide the clinical application of ELD.展开更多
Background： Continuous negative pressure drainage （CNPD） is widely used after lower lumbar internal fixation; however, it may cause tremendous blood loss and lead to postoperative hernorrhagic anemia. The present s...Background： Continuous negative pressure drainage （CNPD） is widely used after lower lumbar internal fixation; however, it may cause tremendous blood loss and lead to postoperative hernorrhagic anemia. The present study explored the efficacy and safety of improved intermittent-clamped drainage （ICD） for lower lumbar internal fixation. Methods： This was a prospective study that included 156 patients with decompression of the spinal canal and internal fixation for the first time from January 2012 to December 2014. The patients were randomly divided into ICD group and CNPD group, and each group had 78 cases. A drainage tube was placed under the deep fascia in all patients within 10 min after the commencement of wound closure. The postoperative drainage amount at different time points, the hemoglobin level, and postoperative complications were recorded and compared between the two groups. Shapiro-Wilk test, independent samples t-test, and Mann-Whitney U-test were used in this study. Results： The drainage amount was significantly reduced in the ICD group, as compared with the CNPD group （Z = 10.74, P 〈 0.01 ）. The mean total drainage amount （in rot） of the single-segment and two-segment procedures was significantly greater in the CNPD group than the ICD group （Z =10.63 and 10.75, respectively; P 〈 0.01 ）. For the adverse events, there was no significant difference in postoperative temperature, wound problem, and complications between the two groups. Conclusions： The present study showed a statistically significant reduction in postoperative drainage amount between ICD and CNPD groups, and ICD is an effective, convenient, and safe method for routine use in lower lumbar surgery. It is essential to focus on the effect of clamping drainage with long-segment surgical procedure and complex lumbar disease in the thrther investigation, as well as the effect of clamping on long-term functional outcomes.展开更多
Intraventricular hemorrhage(IVH)is a dangerous acute cerebrovascular disease.The 30-day mortality rate of patients with IVH is 5 times that of patients with cerebral hemorrhage.In recent years,more and more studies ha...Intraventricular hemorrhage(IVH)is a dangerous acute cerebrovascular disease.The 30-day mortality rate of patients with IVH is 5 times that of patients with cerebral hemorrhage.In recent years,more and more studies have shown that timely clearance of intraventricular hematoma is closely related to good prognosis.The advantages of surgical intervention in patient management are impressive.This article briefly reviews the positive advances in the surgical treatment of IVH such as external ventricular drainage(EVD)combined with intraventricular fibrinolysis(IVF)and continuous lumbar cistern drainage(LCD),as well as their safety and efficacy,especially the remarkable role of neuroendoscopy in the removal of intraventricular hematomas.展开更多
目的分析持续腰大池引流术用于动脉瘤破裂后引起蛛网膜下腔出血中的治疗效果。方法非随机选取2020年1月—2023年6月兴义市人民医院神经外科收治的100例动脉瘤破裂后引起蛛网膜下腔出血的患者为研究对象。按治疗方式不同分为两组,每组50...目的分析持续腰大池引流术用于动脉瘤破裂后引起蛛网膜下腔出血中的治疗效果。方法非随机选取2020年1月—2023年6月兴义市人民医院神经外科收治的100例动脉瘤破裂后引起蛛网膜下腔出血的患者为研究对象。按治疗方式不同分为两组,每组50例。对照组行常规腰椎穿刺引流术,研究组行持续腰大池引流术治疗。比较两组治疗效果、脑血管痉挛、颅内感染情况、格拉斯哥昏迷评分(Glasgow Coma Scale,GCS)、改良Rankin量表评分。结果研究组总有效率为96.00%(48/50),高于对照组的80.00%(40/50),差异有统计学意义(χ^(2)=4.640,P<0.05)。研究组术后脑血管痉挛、颅内感染发生率低于对照组,差异有统计学意义(P均<0.05)。术后,研究组GCS评分高于对照组,改良Rankin量表评分低于对照组,差异有统计学意义(P均<0.05)。结论持续腰大池引流术治疗方案可以提升整体治疗效果,减少颅内感染及脑血管痉挛情况,缓解患者病情。展开更多
文摘Objective: To explore the clinical effect of lumbar pool drainage combined with antibiotics in the treatment of patients with intracranial infections, and to provide a reference basis for clinical treatment. Methods: To collect and select patients admitted to the First People’s Hospital of Jingzhou City for craniotomy from January 2016 to June 2022, the infected were 20 cases, and continuous drainage of the lumbar pool was used under the premise of systemic application of sensitive antibiotics. Results: Twenty cases in this group were discharged cured. Conclusion: Lumbar pool placement drainage combined with systemic application of antibiotics for intracranial infection is a safe and effective treatment method.
文摘Objective To explore the therapeutic effect of preoperative external lumbar drainage in Hunt and Hess grade Ⅰ～Ⅲ patients with subarachnoid hemorrhage (SAH) undergoing early surgery for intracranial aneurysms. Methods 101 cases of gradeⅠ～Ⅲ patients according to the classification of Hunt and Hess
文摘External lumbar drainage (ELD) has gained wide popularity in neurosurgical practice since its’ first introduction by F. Vourc’h in 1963. It manifests encouraging prospects in control of refractory intracranial hypertension, prevention of complications secondary to aneurysmal subarachnoid hemorrhage, prediction of shunt respondency in normal pressure hydrocephalus, management of cerebrospinal fluid (CSF) leakage, and application in bacterial meningitis and ventriculitis. But many questions on the efficacy and safety of ELD are remained to be answered by future studies. CSF overdrainage and ELD-related meningitis are the two most common and fatal complications due to inappropriate usage of ELD. Randomized control ed trials are badly in need to more safely and rational y guide the clinical application of ELD.
文摘Background： Continuous negative pressure drainage （CNPD） is widely used after lower lumbar internal fixation; however, it may cause tremendous blood loss and lead to postoperative hernorrhagic anemia. The present study explored the efficacy and safety of improved intermittent-clamped drainage （ICD） for lower lumbar internal fixation. Methods： This was a prospective study that included 156 patients with decompression of the spinal canal and internal fixation for the first time from January 2012 to December 2014. The patients were randomly divided into ICD group and CNPD group, and each group had 78 cases. A drainage tube was placed under the deep fascia in all patients within 10 min after the commencement of wound closure. The postoperative drainage amount at different time points, the hemoglobin level, and postoperative complications were recorded and compared between the two groups. Shapiro-Wilk test, independent samples t-test, and Mann-Whitney U-test were used in this study. Results： The drainage amount was significantly reduced in the ICD group, as compared with the CNPD group （Z = 10.74, P 〈 0.01 ）. The mean total drainage amount （in rot） of the single-segment and two-segment procedures was significantly greater in the CNPD group than the ICD group （Z =10.63 and 10.75, respectively; P 〈 0.01 ）. For the adverse events, there was no significant difference in postoperative temperature, wound problem, and complications between the two groups. Conclusions： The present study showed a statistically significant reduction in postoperative drainage amount between ICD and CNPD groups, and ICD is an effective, convenient, and safe method for routine use in lower lumbar surgery. It is essential to focus on the effect of clamping drainage with long-segment surgical procedure and complex lumbar disease in the thrther investigation, as well as the effect of clamping on long-term functional outcomes.
文摘Intraventricular hemorrhage(IVH)is a dangerous acute cerebrovascular disease.The 30-day mortality rate of patients with IVH is 5 times that of patients with cerebral hemorrhage.In recent years,more and more studies have shown that timely clearance of intraventricular hematoma is closely related to good prognosis.The advantages of surgical intervention in patient management are impressive.This article briefly reviews the positive advances in the surgical treatment of IVH such as external ventricular drainage(EVD)combined with intraventricular fibrinolysis(IVF)and continuous lumbar cistern drainage(LCD),as well as their safety and efficacy,especially the remarkable role of neuroendoscopy in the removal of intraventricular hematomas.
文摘目的分析持续腰大池引流术用于动脉瘤破裂后引起蛛网膜下腔出血中的治疗效果。方法非随机选取2020年1月—2023年6月兴义市人民医院神经外科收治的100例动脉瘤破裂后引起蛛网膜下腔出血的患者为研究对象。按治疗方式不同分为两组,每组50例。对照组行常规腰椎穿刺引流术,研究组行持续腰大池引流术治疗。比较两组治疗效果、脑血管痉挛、颅内感染情况、格拉斯哥昏迷评分(Glasgow Coma Scale,GCS)、改良Rankin量表评分。结果研究组总有效率为96.00%(48/50),高于对照组的80.00%(40/50),差异有统计学意义(χ^(2)=4.640,P<0.05)。研究组术后脑血管痉挛、颅内感染发生率低于对照组,差异有统计学意义(P均<0.05)。术后,研究组GCS评分高于对照组,改良Rankin量表评分低于对照组,差异有统计学意义(P均<0.05)。结论持续腰大池引流术治疗方案可以提升整体治疗效果,减少颅内感染及脑血管痉挛情况,缓解患者病情。
